The use of pocket books in improving knowledge of tetanus toxoid immunization among adolescents
DOI:
https://doi.org/10.53770/electron.v7i3.619Keywords:
TT Immunization, Pocket Book, Tetanus, AdolescentsAbstract
Tetanus Toxoid (TT) immunization is crucial for protecting adolescents, especially prospective brides, from tetanus infection. Adequate knowledge about TT immunization can increase participation in immunization programs and reduce maternal and infant mortality. This study aimed to determine the effectiveness of pocket books in improving adolescents’ knowledge about TT immunization at Santo Benediktus Pahauman High School. A quantitative quasi-experimental design with a one-group pretest–posttest approach was used, involving 120 respondents selected through total sampling. Knowledge levels were measured using questionnaires before and after the intervention. The results showed a significant increase in knowledge, with the average score rising from 7.50 (range 3–14) before the intervention to 18.42 (range 15–20) after using the pocket book (p < 0.05). These findings indicate that pocket books are effective educational media for improving adolescents’ understanding of TT immunization. In conclusion, pocket books can be utilized as an effective tool in health education to promote immunization awareness among adolescents.
References
Ahmed, A., Yadav, M., Dhingra, A., Jain, R., & Singh, M. (2022). Predictors of Mortality in Neonatal Tetanus: A Retrospective Study From a Medical College in Rural North India. Journal of Neonatology, 36(3), 184-188. https://doi.org/10.1177/097321792211006
Azizah, W. N., Ariandini, S., & Rahmadini, A. F. (2021). The Relationship Between Parity and Knowledge About Tetanus Toxoid Immunization with the Completeness of Tetanus Toxoid Immunization in Pregnant Women in the Third Trimester. Journal of Midwifery Care, 2(01), 34–44. https://doi.org/10.34305/jmc.v2i01.361
Batjo, S. H., Taqwin, & Rindi, A. A. (2022). Health Promotion Through Menstrual Hygiene Pocket Books in Disaster Situations Increases Knowledge Among Adolescent Girls in Bangga Sigi Village. Jurnal Mutiara Kesehatan Masyarakat, 7(2), 122–129. https://doi.org/10.51544/jmkm.v7i2.3513
Cerf, M. E. (2021). Healthy lifestyles and noncommunicable diseases: nutrition, the life‐course, and health promotion. Lifestyle Medicine, 2(2), e31. https://doi.org/10.1002/lim2.31
Dushkova, D., & Ivlieva, O. (2024). Empowering communities to act for a change: A review of the community empowerment programs towards sustainability and resilience. Sustainability, 16(19), 8700. https://doi.org/10.3390/su16198700
Faqih, F., Aritiah, M. A. R., Solihatin, I., Afifah, F., Faranajhia, H., Wicaksono, T. B., & Irmayanto, T. (2025). Getting to Know More about Tetanus. PROMOTOR, 8(3), 346-351. https://doi.org/10.32832/pro.v8i3.1188
Galassi, F. M., Bianucci, R., Donell, S. T., Vittori, V., Nerlich, A., Martini, M., & Varotto, E. (2025). Tetanus: historical and palaeopathological aspects considering its current health impact. Journal of preventive medicine and hygiene, 65(4), E580–E585. https://doi.org/10.15167/2421-4248/jpmh2024.65.4.3376
Hakim, D. D., Faried, A., Nurhadiya, A., Laymena, E. H., Arifin, M. Z., Imron, A., & Abdulrachman, I. (2021). Infected open depressed skull fracture complicated with tetanus grade I in an unimmunized child: A rare case report with literature review. International Journal of Emergency Medicine, 14(1), 25.https://doi.org/10.1186/s12245-021-00346-9
Minister of Health of the Republic of Indonesia. (2017). Regulation of the minister of health of the republic of indonesia number 12 of 2017 concerning the implementation of immunisation. Jakarta: Minister of Health of the Republic of Indonesia.
Ministry of Health of the Republic of Indonesia. (2021). Indonesia Health Profile 2020. Jakarta: Ministry of Health of the Republic of Indonesia.
Minister of Health of the Republic of Indonesia. (2022). Regulation of the Minister of Health of the Republic of Indonesia Number 13 of 2022 concerning amendments to Regulation of the Minister of Health Number 21 of 2020 on the Ministry of Health’s Strategic Plan for 2020–2024. Jakarta: Minister of Health of the Republic of Indonesia.
Norris, S. A., Draper, C. E., Prioreschi, A., Smuts, C. M., Ware, L. J., Dennis, C., ... & Lye, S. (2022). Building knowledge, optimising physical and mental health and setting up healthier life trajectories in South African women (Bukhali): a preconception randomised control trial part of the Healthy Life Trajectories Initiative (HeLTI). BMJ open, 12(4), e059914. https://doi.org/10.1136/bmjopen-2021-059914
Oe, H., Yamaoka, Y., & Ochiai, H. (2022). A qualitative assessment of community learning initiatives for environmental awareness and behaviour change: applying UNESCO education for sustainable development (ESD) framework. International Journal of Environmental Research and Public Health, 19(6), 3528. https://doi.org/10.3390/ijerph19063528
Rohmatika, D., Prastyoningsih, A., & Rumiyati, E. (2021). The Effect of Health Education Using the Perkasa Pocket Book Method (Preparation for a Healthy Family) on the Marriage Readiness of Prospective Brides and Grooms. Indonesian Midwifery Journal, 12(1). https://doi.org/10.36419/jki.v12i1.435
Santy, P. (2022). The Effect of TT Immunization Counseling on the Knowledge of Prospective Brides (Catin). Malahayati Nursing Journal, 4(5), 1151–1158. https://doi.org/10.33024/mnj.v4i5.6345
Sitorus, D., Aisyah, S., & Amalia, R. (2022). The Relationship Between Knowledge, Attitudes of Mothers, and Support from Husbands with the Completeness of Tetanus Toxoid (TT) Immunization in Pregnant Women. Scientific Journal of Batanghari University Jambi, 22(2), 726. https://doi.org/10.33087/jiubj.v22i2.1783
Sunarsih, S., Mariza, A., Rachmawati, F., & Candrawati, P. (2022). TT (Tetanus Toxoid) Immunization Education for Prospective Brides and Grooms. Journal of Community Service Creativity, 5(7), 2238–2242. https://doi.org/10.33024/jkpm.v5i7.6305
Suryani, P., Yudiernawati, A., & Wahyuni, T. D. (2025). Innovative Strategies in Community Empowerment to Promote Sustainable Healthy Living Behavior. The Journal of Academic Science, 2(2), 665-674. https://doi.org/10.59613/2phqek64
Waqar, K., Riaz, S. U., Ali, A., Fatima, M., Ishaq, M., & Sohail, H. (2021). Tetanus Outcomes In Atertiary Care Hospital in Karachi. Journal of Peoples University of Medical & Health Sciences Nawabshah.(JPUMHS), 11(2), 48-51. Retrieved from: http://www.publication.pumhs.edu.pk/index.php/ojs/article/view/21
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 ELECTRON (Journal of Science and Technology)

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.





